NPIMap

Organization Active NPI

Janice Y. Park-Kim, D.D.S., Inc.

Doing business as Northpark Dental

  • Pediatric Dentistry
  • Irvine, CA
National Provider Identifier
1871769109
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
48658 Issued in CA
Legal business name
JANICE Y. PARK-KIM, D.D.S., INC.
Doing business as
Northpark Dental
Practice address
3971 Irvine Blvd
Ste. 102
Irvine, CA 92602-2482
Phone
(714) 368-3319
NPI assigned
May 6, 2008
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James KimNPI 1700919248
Title
Vice President
Phone
(714) 368-3319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 48658 CA Primary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 43617 CA

Addresses

Primary practice location

3971 Irvine Blvd
Ste. 102
Irvine, CA 92602-2482

Mailing address

3971 Irvine Blvd
Ste. 102
Irvine, CA 92602-2482
Phone (714) 368-3319

Other names 1

  • Northpark Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1871769109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3971 IRVINE BLVD",
            "address_2": "STE. 102",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022482",
            "telephone_number": "714-368-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3971 IRVINE BLVD",
            "address_2": "STE. 102",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022482",
            "telephone_number": "714-368-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE Y. PARK-KIM, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-368-3319",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "48658",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "43617",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northpark Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.